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PROVIDER PROFILE · NPI 1023076353

Simon PrendivilleMD

GastroenterologyCharlotte, NCI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 340053
Hospital
CCN 340171
Hospital
CCN 340183
Hospital
CCN 340190
Hospital
CCN 340195
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
324
Beneficiaries
—
Total drug cost
$498K
Distinct drugs
11
Brand share
37.3%
Top prescribed drugs
Omeprazole59 claims
Sodium, Potassium,mag Sulfates59 claims
Pantoprazole Sodium51 claims
Famotidine48 claims
Linaclotide20 claims
QUALITY · MIPS · 2024
Final MIPS score
95.2
Quality
100.0
Cost
84.1
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.85%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$274
Payment records
6
By payment type
Food and Beverage$274
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
389
Unique beneficiaries
—
Total services
432
Distinct HCPCS
14
Medicare payment
$40K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 491 Gastroenterology providers in NC — top quintile (cohort median 652).
REFERRAL NETWORK

Where Simon Prendiville's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 14 inbound referrers · 27 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
NOVANT HEALTH MATTHEWS MEDICAL CENTER LLC3251
Kerry Mccarty
Certified Registered Nurse Anesthetist (CRNA) · Mooresville, NC
2932
SOLSTAS LAB PARTNERS GROUP LLC2977
Mecklenburg Emergency Medical Services Agency
Ambulance Service Provider · Charlotte, NC
2648
David Scholz
Internal Medicine · Charlotte, NC
1823
Andrew Kapustin
Diagnostic Radiology · Charlotte, NC
1822
CAROLINAS MEDICAL CENTER1729
Brian Hamilton
Diagnostic Radiology · Charlotte, NC
1623
James O'brien
Diagnostic Radiology · Charlotte, NC
1623
Robert Quarles
Diagnostic Radiology · Charlotte, NC
1319
Ashesh Parikh
Diagnostic Radiology · Charlotte, NC
1334
TOOTHMAN, DONALD1217
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
THE PRESBYTERIAN HOSPITAL164479
Laboratory Corporation Of America Holdings
Clinical Laboratory · Burlington, NC
89152
Charlotte Gastroenterology & Hepatology, Pllc
Ambulatory Surgical Center · Charlotte, NC
86107
Laboratory Corporation Of America Holdings
Clinical Laboratory · Research Triangle Park, NC
5764
Mecklenburg Emergency Medical Services Agency
Ambulance Service Provider · Charlotte, NC
3760
NOVANT HEALTH MATTHEWS MEDICAL CENTER LLC3048
NPI 10937654222830
SOLSTAS LAB PARTNERS GROUP LLC2372
CAROLINAS MEDICAL CENTER2245
LENKER, MICHAEL2230
Brian Hamilton
Diagnostic Radiology · Charlotte, NC
2136
Daniel Scanga
Diagnostic Radiology · Charlotte, NC
2142
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.